Idaho
Division of Occupational and Professional Licenses
CAREN JORDAN SMITH
Board Of Medicine
License number
PA-647
Date granted
11/15/2006
Date expires
06/30/2017
Class
Board Of Medicine
Status
Renewed
Address
3100 CHANNING WAY IDAHO FALLS ID 83404
idaholicensing.com
ID 48355349
LAST UPDATED 2024-02-11 01:28:28 UTC
LAST UPDATED 2024-02-11 01:28:28 UTC
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